BiPAP治疗老年重症肺炎患者的疗效观察  

Curative Effect Observation of BiPAP for Elderly Patients with Severe Pneumonia

作　　者：肖俊营 赵丽[1] XIAO Junying;ZHAO Li(Songyuan City Central Hospital,Songyuan,Jilin 138001)

机构地区：[1]松原市中心医院,吉林松原138001

出　　处：《智慧健康》2024年第27期77-79,共3页Smart Healthcare

摘　　要：目的探究对老年重症肺炎患者应用无创双水平气道正压通气(BiPAP)治疗的效果。方法选取2022年1—12月本院收治的老年重症肺炎患者76例为研究对象,并依照随机数字表法分为对照组和观察组,每组38例。其中,对照组采用低流量吸氧治疗,观察组采用BiPAP治疗,对比两组临床症状改善时间、肺功能水平、血气指标以及并发症发生情况。结果观察组发热、肺部啰音、咳嗽消失时间及白细胞计数恢复正常时间均少于对照组(P<0.05);观察组治疗后用力肺活量(FVC)及第1秒用力呼气容积(FEV1)均高于对照组(P<0.05);观察组治疗后动脉血氧分压(PaO_(2))高于对照组,动脉二氧化碳分压(PaCO_(2))低于对照组(P<0.05);观察组并发症发生率低于对照组(P>0.05)。结论将BiPAP应用于老年重症肺炎患者治疗中,有助于改善患者临床症状,促进肺功能恢复,对患者血气指标有明显改善作用,有助于患者预后,值得推广。Objective To explore the effect of non-invasive dual level positive airway pressure(BiPAP)treatment for elderly patients with severe pneumonia.Methods The study period was from January 2022 to December 2022,with 76 elderly patients with severe pneumonia as research subjects.According to the random number table method,they were divided into two groups:the control group(38)and the observation group(38),treated with nasal cannula low flow oxygen therapy and BiPAP therapy respectively.Clinical symptom improvement time,lung function level,blood gas indicators,and incidence of complications were compared between two groups.Results Disappearance time of fever,lung rales,cough,and white blood cell count recovery in the observation group was shorter than the control group(P<0.05).The forced vital capacity(FVC)and forced expiratory volume in one second(FEV1)of the observation group was higher than the control group after treatment,(P<0.05).After treatment,the arterial oxygen partial pressure(PaO_(2))in the observation group was higher than the control group,and the arterial carbon dioxide partial pressure(PaCO_(2))was lower than the control group,(P<0.05).Incidence of complications in the observation group was lower than the control group(P>0.05).Conclusion BiPAP can improve clinical symptoms,promote lung function recovery,improve blood gas indicators significantly,and help prognosis of elderly patients with severe pneumonia,which is worthy of promotion.

关 键 词：BIPAP 老年 重症肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]